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HomeMy WebLinkAboutPermit Building 2008-4-4 Status use initials CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01406 ISSUED: 09/13/2007 APPLIED: 09/13/2007 EXPIRES: 10/04/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 2445 GROVEDALE DR ASSESSOR'S PARCEL NO.: 1703233309600 Springfield TYPE OF WORK: Single Family Residence TYPE OF USE: Repair Residential PROJECT DESCRIPTION: Replace gas furnace and water heater Owner: RYAN CARNEY Address: 2445 GROVEDALE DR SPRINGFIELD OR 97477 Phone Number: 541-953-8771 I CONTRACTOR INFORMATION I Contractor Type Electrical Mechanical Plumbing Contractor OWNER JUNG ENTERPRISES INC 102455 OWNERATTENTION: Oregon law requires you.~o I "J l' - - "'-...:01-..1 "")' ....... t"'I~...","''' I It II iN VIIVI/II ... w,:, __~....-. .- _ ..- -' ~-' .....-,.. Notification C€JmlILIJlJU:UIN..J~dtMI~1 in OAR 952-001-001 u mrougn Ul'\n tI".:.-uv. 0090. You may olJta~~jI of the rules by cSUllg the centHei~'lst\1tc\WAPhone number for the ~ .H\!_YW Notification VB Center isW~.:2344). Range Type: Energy Path: Sprinkled Building' License Expiration Date Phone 11/17/2008 541-741-0002 # of Units: Primary Occupancy Group: Secondary Occupancy Group: Primary Construction Type Secondary Construction Type: # of Bedrooms: Lot Size: Sq Ft 1st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage/Carport Sq Ft Other: Occupant Load: n/a I DEVELOPMENT INFORMATION. REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: Rearyard Setback: Solar Setbacks: Overlay Dist: # Street Trees Rqd: Paved Drive Rqd: % of Lot Coverage: NOTICE:. e 1C"I'I#WMK T..~ rf11.U7 m~.~~ ~~, OT PU . S PERMIT IS N COMMENCED OR IS ABANDO~fitU~ype: ANY 180 DAY PERIOD. Total: Handicapped: Compact: Street Improvements: Storm Sewer Available: Special Instruction: Downspouts/Drains: Notes: Pa2e 1 of3 Status use initials 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Description Tvpe of Construction Fee Description -Mechanical Issuance Fee- + 10% Administrative Fee + 5% Technology Fee + 8% State Surcharge Add, Alter, Extend Circ Add, Alter, Extend Circ Ea Add Appliance Vent Fixture Furnace - up to 100,000 btu Gas Outlets 1-4 Minimum/Adjustment Mechanical Minimum/Adjustment Plumbing + 10% Administrative Fee + 12% State Surcharge + 5% Technology Fee Fixture Total Amount Paid CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: COM2007-01406 ISSUED: 09/13/2007 APPLIED: 09/13/2007 EXPIRES: 10/04/2008 VALUE: I Valuation Descrintion I $ Per Sq Ft or multiplier Square Footage or Bid Amount Value Date Calculated Total Value of Project ~ Amount Paid Date Paid Receipt Number $20.00 $15.20 $7.60 $12.16 $48.00 $4.00 $14.00 $16.00 $14.00 $5.00 $17.00 $34.00 $3.20 $3.84 $1.60 $32.00 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 9/13/07 4/4/08 4/4/08 4/4/08 4/4/08 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 1200700000000001192 2200800000000000411 2200800000000000411 2200800000000000411 2200800000000000411 $247.60 I Plan Reviews' I To Request an inspection call the 24 hour recording at 726-3769. All inspections requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. ~eouireCUnsnections I Rough Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. Rough Gas: After line is installed and required testing and capped if not attached to an appliance. Rough Mechanical: Prior to Cover Pa!!e 2 of 3 Status use initials CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO: cOM2007-01406 ISSUED: 09/13/2007 APPLIED: 09/13/2007 EXPIRES: 10/04/2008 VALUE: 225 Fifth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Final Mechanical: When all mechanical work is complete. Rough Electric: Prior to Cover Final Electric: When all electrical work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance WIth ORS 701.005 will be used on this project. I further agree to ensure that~eqUired inspections are requested at the proper time, that each address is readable from the street, that the permit card is 0 ated at the front of the property, and the approved set of plans will remain on the site at all times during ons ction. . , ...\~. ~-4-0S Owner ~ntractors Signature ~ Date 1 Pa2e 3 of 3 225 Fifth Street Springfiold, Oregon 97477 541.726-3759 Phone Job/Journal Number COM2007-01406 COM2007-01406 COM2007-01406 COM2007-01406 Payments: Type of Payment CredltCard cRecemtl RECEIPT #: Description Fixture + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee PaId By RY AN CARNEY City of Springfield Official Receipt Development Services Department Public Works Department 2200800000000000411 Date: 04/04/2008 Item Total: Check Number AuthorizatIOn Received By Batch Number Number How ReceIVed dJb 027618 In Person Payment Total: Page I of 1 11 :38:34AM Amount Due 3200 1 60 384 320 $40.64 Amount Paid $40 64 $40.64 4/4/2008